DR. GERARD EDWARD-ZACKARY BOGUCKI (NPI# 1710092432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710092432 |
| Entity Type | Individual |
| Full Name | DR. GERARD EDWARD-ZACKARY BOGUCKI |
| Credential | DMD |
| Practice Address |
66 Maple Avenue Collinsville CT 06019 |
| Practice Telephone | 8606938314 |
| Practice Fax Number | 8606934426 |
| Mailing Telephone | 8606938314 |
| Mailing Fax Number | 8606934426 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5072 | CT | Dental Providers |
| Street Address |
66 MAPLE AVENUE |
| City | COLLINSVILLE |
| State | CT |
| Zip Code | 06019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063527786 | Gerard E Bogucki Dms PC | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1497774384 | Jay Tillman | Psychiatry & Neurology | 50 Albany Turnpike, Canton Gateway Office Park #16, Canton, CT 06019 | 2006-07-19 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574146 | Dallas Lee Pineda | Dentist | 101 United Dr Ste 150, Collinsville, IL 62234-7439 | 2020-06-29 |
| 1891176897 | Adam Fritzgerald | Dentist | 473 Parkside Commons Ct, Collinsville, IL 62234-4488 | 2015-06-15 |
| 1114054699 | John William Rhoday | Dentist | 4721 King's Mountain Road, Collinsville, VA 24078 | 2007-02-28 |
| 1558414474 | Michael Eugene Lavinder | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1826 | 2007-01-22 |
| 1639230964 | Kenneth James Kosten | Dentist | 500 St Louis Rd, Collinsville, IL 62234-2437 | 2006-12-12 |
| 1558435941 | Larry Herbert Rapp | Dentist | 500 Saint Louis Rd, Collinsville, IL 62234-2437 | 2006-11-20 |
| 1659469666 | Daniel J Mcatee | Dentist | 217 W Clay St, Collinsville, IL 62234-3219 | 2006-10-11 |
| 1477640449 | David Parke Maier | Dentist | 1170 Belt Line Rd, Collinsville, IL 62234-4372 | 2006-10-09 |
| 1881792273 | Ross Finley Gale | Dentist | 4248 Virginia Ave, Collinsville, VA 24078-1935 | 2006-09-20 |
| 1265482046 | Today's Dental Care | Dentist | 2006 Mall St, Bldg. 1, Collinsville, IL 62234-1831 | 2006-05-11 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 06019 |
Please comment or provide details below to improve the information on DR. GERARD EDWARD-ZACKARY BOGUCKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.